19729 82ND PL W (2).PDF11 lill iiiiii
7648
19729 82ND PL W
NOTICE:
Nb-warranty of accuracy.
The Information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, Its Employees and Consultants.
The C'ty of �Edm.onds does not ' warrant the
accuracy of anything set forth on these
map(�_). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
-map(s),
t including, but not I'm*ted to,
the location of any sewer stub shown. Such
sewer stubs may or may not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
I
ern ro-yee-s o-r offi-Ce-rS Shal-I be 1--i-a-b-1--e for the
P
information given on this map(s), nor for
ation provided based
any one represent
upon said map(s).
APPLICATION
for
The City of idm SIDE SEWER PERMIT BASEMENT No . .......... ...................
56RREER" FILE
NEW CONSTRUCTION REPAIRS aYNN PLANT..
OWNER------- ......................... ...................
...... ..... Y ............
ADDRESS ... ................. ! ....... . ............
s-
-4
1%11 /"L)
CONTRACTOR .............. PERMIT Nol--;;�F/
X��'
LEGAL DESCRIPTION: LOT No . ...... -------------------- ------- BLOCK No . ............................................
NAMEOF ADDITION .........................................................................................................................................
Approved:
APPROVED-
DATE ..... ............ 13Y
...........
CITY OF EDMONDS
DEPARTMENT OF PUBLIC WORKS
250 Fifth Avenue North, Edmonds, Washington
SEPTIC TANK INSTALLATION PLAN
(Submit in Trifficate)
ADDRESS OF PROPERTY .......... C . ........ Lot No ................. ... Permit No..J#41 ......
0 hone .......... .............
Owner ...... .. ......... Address,.. j
�&P
Builder.. ..... - --- --- ----------- ......... .. Address__ ........ A ......... ....................................... ...... -Phone ........................
Designer......... ... - -------- - --------------- ------- Address ----------- P ........ .......................... .......... !� ...... Phone .....................
A ................
Ins
-/Address ................................. -------- I .................... Phone ... AF
I her?by certify the accompanying drawing is an accurate representation of the system installed at the listed
address. I also certify all recommendations and restrictions (concerning plumbing stub elevations, maintenance of
grades, fills, surface drains, etc.) listed by me on iny scwage disposal system permit application dated ...... .........
.... have bee -In complied with.
.............................. . . ..... .
Signature of Daiigno, at,
�J�-
TO BE FILLED IN BY CITY ENGINEER ONLY
2_1
Accepted ...... Date.
Not Accepted .... .. . Date.
Signature of tSamian .......... ...................... ...................................
Remarks: ........ ......... .................................. ....... ............ .......... ........................................... ........................................................
INSTRUCTIONS: Use the reverse side of this form for the drawing. Use a scale which will permit the greatest
detail and still contain the entire site on one page.
ATTENTION HOME OWNER:
Your septic tank has limitations! It was designed and installed to care for an average -size family. Over-
loading the septic tank or disturbance of the drain -field may seriously impair satisfactory operation. Points to
remember:
1. Have your tank checked periodically to see if pumping is necessary (2y2-3 years).
2. Do not channel ground water, surface water, footing drains or downspouts into the tank or drainfield.
3. Do not excavate, fill, place a structure, driveway or,patio in, on, or ove'r the 'drainfield.
4. Limit toilet fixture disposal to sanitary wastes and toilet tlisslle.t'
5. Detergents and bleaches used in normal household quantities will not harm the action of the septic tank and
disposal field.
Carroll Mortgage Company
414 Olive Way
Seattlo, Washington
Dear Mrs. ?1--�,yes:
This is to certi
the septic tank installat7'
of March 1964.
JE M: prd
1964
Edmonds has approved
West, in the month
truly,
CITY OF UMCNIDS
JOHN E. MORAN
Superintendent of Public Works
I V
CITY OF t'DMONDS
DEPARTMENT OF PUBLIC WORKS
250 Fifth Avenue Nor _Edrnonr1-,,1,,7ashinNorx sp
APPLICATION FOR A SifR%X E A--PERM#'T
'Submit 3, Topies)
Permit to be issued to: ......... G.-.W
_ I -----------
For installation at: (street address)... 19729 .. "06-
I---------------------------------------------- ...................... ...............
Addition or Subdivision_ .... Tani.WOW ...............
........................ .............. -ot". c
f iTIZc ..............
-------------
Type of Building: New ---- x ..... Existing ............ Single.Jamil); residence k.Number of bedlnAs,l .... 3;, .. .........
.. . ........ ...................................
Other: (specify type or�us�ao ........... --------------- -------------------------------------------------------
............. Address-1 W
rgullder .............. ------ i 402n Seattle
64 ...........
M-114-14 0741,170710.*�i ......... ------- Address.
esi er_
41,
og'Re No.T11"�!l2q` oi 1p ... 2J411- -10aMj -lif lit, tvay _bqlAw
, 413 �4
.............
- --- - ------ .................
------------ --------- .... .... T ---- ...... -------- ---------
%
..........
Soil Log Hole No. 2 .... __ ... Sam__' .............. ................
----------------------------------
................................................................................. ... --- ....................
............. ...... .. ------ V -- ------------------
iieani-
Elevation of Water Table, if encountered. (Distancelfrom ground surface) X7,
TAT
7 .............. .......................................................
Corrections to control surface water if needed.. ....... 31
.......... ........................
................................................. .................................... ......................... ........................ . A I .........................
.................... ......... 11 ...... I .......
Specify if any removing or grading of topsoil in;�tieltl area ... ..... Nano . ..... .....
tj.................................................................................. .......................................... ..................................................... ................
Percolation:
Test Hole No. I —Average Rate .......... ....... ... .. 14all in inintites/incti-bottom 6"'test hole)
Test Hole No. 2 —Average Rate .......... -------_-----_------- - ... jFall in minutes/inch-bottom 6" :test hole)
I %
Test Hole No. 3 —Average Rate .......... ------------ ..... .. ..... (Uall, in minutes/inch-botVni '6" :test hole)
6-15-63
Average percolation rate on which to base drain field design ................... Date T ei, .. - --------
Septic tank requirements based on present rules and regulations:
Septic Tank Size. --- 9W ................. gallons.
Amount of Square Feet ol Disposal Fie d.1
... 440"01 ...... . ..... ..... ...
............... .
Signature — Designer-., . ..... .... 4 Date ---- Aup�met._24,0 ... 1963 ........
DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency)
Permit issued (date) .. .... I/ ..................... ...Permit Numb
-------------------- --------
.............. ....... .......
Remarks: ............ .,. ;::�
---------------------------------------- I ------- -------------- . ..... ------- ------------------ *'*"** ------------ ----------------------------
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NOTICE:
N'o ... warranty of accuracy.
The -information on the attached
map(s) was compiled for use by the City,of
Edmonds, its Employees and Consultants.
The City of �Edmonds does not warrant the
accuracy of anything set forth on these
map(§-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
t-Fe -map(s), Including, but not limited to,
the location of any sewer stub shown. Such
sewer stubs may or may, not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
e m pt o-y e e-s o -r o ff I *c e,r s -s h- a- 1- 1 b e a. b..11-.e f o r tL h e
information given on this map(s), nor for
esentation provided based
any one repr
upon . said map(s).
I rf" CITY. OF EDMONDS
Call PRospect 6-1107 when work
CIVIC, CENTER — QATT_ER�SEWER DEPARTMENT
Is ready for Inspection. (No. Inspec-
tions - Saturday, Sunday,or holidays.) N -0 2195
SIDE SEWER PERMIT
19729 - 82nd Place West
ADDRESS.......................................................................................... ..............................................................................................................
H. Sorensen Russell Johnson
OWNER........................................................ ..................................... CONTRACTOR ................................................................................
MaY 5, 67
Pern-iission is granted ............................................ 1 19 ......... for ........................ days to REPAIR or CONNECT a side sewer
with City Sewers In accordance with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. I —The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must
be employed to construct side sewer in street area. Do not cover any portion of sewer before It has been Inspected.
NOTE No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 3—Top of side sewer must have at least 30 Inches coverage at property line and 12 inches Inside property line; mWmum grade of 2%.
No bends In grade sharper than % will be permitted.
NOTE No. 4—Trenches In street must be water settled and surface of street restored to original condition. Contractors shall be responsible for
failure due to improper work which may develop within one year of completion.
NOTE No. 5—It is unlawful to alter or do any other work than Is provided for in the permit, or to do any work on the main sewer or its appur-
tenances except to insert the pipe into the wye.
94,
Septic Tank ----- gals.
Disp. Field.7 .......... 4) .... sq I '. f t.
SEWAGE DISPOSAL -,PERMIT
CITY Of"ED M.0 14D
C- Works
Department of Publi
No. .:t:/Vg
Other.... ............................................
-install/
......... ............................ is hereby authorized to
Name .............................. ........... 4).: .........
repair sewage disposal system at
...............................
.4: .... . .. . . ....... me, .. ........
........... .... ... 1.!9,7
Dateissued on ....... ........... .............. ... . ...........................
s one ear from date of' issue
Permit expire y
DO NOT COVER BEFOREAPPROVED BY DESIGNER OR SANITARIAN
I her . eby certify this system was installed under my supervision and control and complies with a . 11 provisions of the City
of Edmonds Resolutions.
Signatureof Installer ............................................................................. Date .................................. .
. .......................
Approved Disapproved Date .............. .......... I ....................................... By ............................................................
...................................................................................... : ...........
Remarks: .......................................... ...................................... .............. ..............
SANITARIANOR DESIGNER ......................... ........................................................................ * Date ..........................................................
This permit shall be posted in a reasonably conspicuous place on the job until inspection has been completed.